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Individual

STEPHANIE N SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
207269
OK

Other

Enumeration date
03/18/2022
Last updated
03/18/2022
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